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Individual

MARK J SHLOMCHIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
20 YORK ST, YNHH, CLINIC BUILDING, ROOM 407, NEW HAVEN, CT 06510-3220
(203) 785-2153
(203) 737-5554
Mailing address
20 YORK ST, YNHH, CLINIC BUILDING, ROOM 407, NEW HAVEN, CT 06510-3220
(203) 785-2153
(203) 737-5554

Taxonomy

Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
032870
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001328708
CT
Enumeration date
11/03/2005
Last updated
04/04/2011
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